ALCOVE RETIREMENT CENTER III (NPI# 1386944064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386944064 |
| Entity Type | Organization |
| Organization Name | ALCOVE RETIREMENT CENTER III |
| Other Organization Name | ALCOVE ASSISTED LIVING FACILITY |
| Practice Address |
2801 4th St N St Petersburg FL 33704 |
| Practice Telephone | 7278980560 |
| Practice Fax Number | 7278951155 |
| Mailing Telephone | 7278980560 |
| Mailing Fax Number | 7278951155 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | NELLY MCNULTY (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7278980560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
AL6511 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 140082700 | 05 | |
| FL | 685933000 | 05 |
| Other Name | Type Code |
|---|---|
| Alcove Assisted Living Facility | Other Name - Individual/Organization |
| Street Address |
2801 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1477875979 | Adam Garett Gorberg | Anesthesiology | 2438 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 | 2010-02-24 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831508241 | Autumn House | Assisted Living Facility | 880 17th Ave S, St Petersburg, FL 33701-5716 | 2014-08-11 |
| 1437572104 | Tectrust Incorporated | Assisted Living Facility | 434 4th St N, St Petersburg, FL 33701-2804 | 2014-01-30 |
| 1043642606 | Adrian Manor | Assisted Living Facility | 2168 9th Ave N, St Petersburg, FL 33713-7134 | 2013-08-06 |
| 1285075986 | Loving Care of St Petersburg | Assisted Living Facility | 1001 9th St N, St Petersburg, FL 33701-1514 | 2013-07-10 |
| 1770742231 | Everlasting Grace Assisted Living Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2008-06-09 |
| 1194900985 | Gulf Coast Jewish Family Services | Assisted Living Facility | 3180 66th St N, St Petersburg, FL 33710-3165 | 2007-12-31 |
| 1164475067 | Shrinathji, Inc | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2006-05-19 |
| 1407238504 | Amelia Assisted Living Facility, Inc | Assisted Living Facility | 2135 40th Ave N, St Petersburg, FL 33714-4124 | 2015-06-24 |
| 1053746107 | Mental Health Group of Greater Tampa Bay | Assisted Living Facility | 2349 Central Ave, St Petersburg, FL 33713-8845 | 2013-09-09 |
| 1942518501 | The Peacekeepers' Den Inc. | Assisted Living Facility | 1325 4th St N, St Petersburg, FL 33701-1117 | 2010-09-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on ALCOVE RETIREMENT CENTER III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.